Individual provider Active NPI

Vetrice Kotek, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Parma, OH
National Provider Identifier
1518581792
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0027357 Issued in OH
Practice address
6902 Pearl Rd Ste 502
Parma, OH 44130-3621
Phone
(440) 842-6867
NPI assigned
Jun 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 0027357 OH Primary

Addresses

Primary practice location

6902 Pearl Rd Ste 502
Parma, OH 44130-3621

Mailing address

14864 Rapids Rd
Burton, OH 44021-9414
Phone (440) 708-3631

Other names 1

  • Miss Vetrice Turner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220427002411 OH Practitioner - Nurse Practitioner 6103213897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Coast Family FoundationGroup PAC ID 9739191172, 4 clinicians

Practice addresses (Care Compare)

6902 Pearl Rd
Suite 502
Cleveland, OH 44130-3621
Phone (440) 842-6867

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0027357OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Family Foundation Multi-Specialty CurrentSince Apr 1, 2022 Accepting new patients

Locations

1660 Akron Peninsula Rd
Ste 203
Akron, OH 44313
Phone (440) 842-6867

6902 Pearl Rd
Ste 502
Parma, OH 44130
Phone (440) 842-6867

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1518581792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14864 RAPIDS RD",
            "city": "BURTON",
            "state": "OH",
            "postal_code": "440219414",
            "telephone_number": "440-708-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6902 PEARL RD STE 502",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441303621",
            "telephone_number": "440-842-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTEK",
        "first_name": "VETRICE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0027357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VETRICE",
            "last_name": "TURNER",
            "prefix": "MISS",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.